Organization
PELICAN HILL MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SON NGUYEN MD (OWNER)
(770) 786-1118
Entity
Organization
Contact information
Practice address
470 PLEASANT HILL RD NW, LILBURN, GA 30047-2734
(770) 381-6222
(770) 931-4111
Mailing address
470 PLEASANT HILL RD NW, LILBURN, GA 30047-2734
(770) 381-6222
(770) 931-4111
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
59834
GA
Other
Enumeration date
06/23/2017
Last updated
08/07/2017
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